| NPI | 1083120547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704267795) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MI 4704267795) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2024-06-04 |